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SGN2005-00061 CITY TIGARD SIGN PERMIT STS; I` DEVELOPMENT SERVICES PERMIT #: SGN2005 -00061 Atj °1I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/15/2005 PARCEL: 2 S 102AA - 00490 BUSINESS NAME: ROUND TABLE ZONE: CBD SIGN LOCATION: 12085 SW HALL BLVD 120 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 14' - X 24" TOTAL SIGN AREA: 28 sq. ft. WALL AREA: 800 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: 16 ft. PROJECTION FROM WALL: 5 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 28.5 sq. ft. permanent wall sign. MATERIALS: ALUM /METAL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 37.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: PERMITTEE SIGNATURE: DATE: 3/15/2005 , A SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site 20u%...l ---- K - 2.131- g— Address/ Street Address Permit No.: S c� 4) 2 Q S — t7 v C 61 Location 1,Ze>935 1--k-fi(t_c -- 1ui Expiration Date: Suite /Bldg. # City /State Zip l 1c -Az0 U(Z_ Receipt #: Y . Name ( Approved By: I` V Property Date: -1 S Owner Mailing Address Suite Map/TL #: Zoning: City /State Zip Phone Electrical Permit Required? ©—Yes El No Tenant or Name � Building Permit Required? CI Yes Quo Business ��) ` � 0 ` - Ll- Name ' Rev. 7/1/04 \curpin \masters \revised \sign permit app.doc Sign __..Z._/-)a-1 51.(.1-4 S Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit 4 3� 5� t Z� (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all City /State Zip Phone licenses are required if �c L44,vo c2 553 732. 'FI 7Z ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # p El Copies of Site /Plot Plan, Drawn to Scale database) Z Z 8CP>, (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding CI Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary Wall ❑ Electronic (Check all that El 2 copies of elevations, drawn to scale apply) ❑ Other Billboard ❑ Balloon (3 copies, if a building permit is required) New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimension : ,, z Y i ❑ $32.00 Fee (Permanent sign, any size) Total Si n Area (sq. ft.): I ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb 6 CC\ (Complete all Direction Wall Faces (circle one): NOTES: items in this section) ( / N)S E W NE NW SE SW • Wall signs do not need to be drawn to scale, Refght to top of sign (feet): /6, but must include dimensions of wall face and Projection From Wall (inches): S 0 sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? Yes ❑ No building permit. _ Type: Internal ❑ External • If work authorized under a sign permit has not Are there any existing freest n ing or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL 1=I Yes ❑ No BECOME NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with the City of Tigard. DATED this day of , 20 os Signature of Owner /Agent 4-1'! L t7Ll..! 3 ..e . 2- 7 _ 1 Contact Person Name Phone No. i R u n a Store #345 Tigard, OR Building Identification Replacement 12085 Hall Blvd. _ _ — ° -� Tigard, OR �a.. k�aYs ` @° F T I:as'.A D �. ' s��ns se rvices ;J C O M P A. N Y 10980 BOATMAN AVENUE STANTON, CA. 90680 PHONE 714/761 -8200 FAX 714/761 -2451 W NtiV. SI GNSANDS ERVI CESCO.COM CLIENT ROUND TABLE PIZZA #345 12085 HALL BLVD. TIGARD, OR Scope of Work: Replace (2) Two sets of Channel -Lum letters Design No 04 -155 and raceway with (2) Two new sets of RTP channel letters and raceways Date: 2/10/04 Signtype O Scale: NOTED Designer: AMG Sales Rep: D. Terrack REVISIONS _ 0 - - Round Other Tenants - A > t co x Parking Lot Signtype Q SIGns & services C O M P A N Y 10980 BOATMAN AVENUE STANTON. CA. 90680 PHONE 714/761 -8200 FAX 714/761 -2451 WWW..SIGNSAN DSERVI C ESCO. COM 99W ErL) wo A ssoc.Weir CONTRACTORS LICENSE # 624675 THIS IS AN ORIGINAL UNPUBLISHED DESIGN (BEARD BY SIGNS NORTH AND SUMS CO5VANY.IIISN0I10BE%OWNOP 00HI8115010 ANYONE WISE YOUR ORGANI /AIION. 8E11000RION OR (ONS18111108 01015PUIS BASED ON THIS DESIGN 15 SHIM 10 (080006HI UWS ANO 008150 1010GA18(110155. Site Plan 24 CLIENT 6-0" 24' -0" ROUND TABLE PIZZA #345 12085 HALL BLVD. TIGARD, OR Y'. `) / m N 4 1 , °35� s� � I Z d ry I ` Design No 04 - 155 sii a . m` # "zs• , , s v / vei • y - .,, - tir - t -4 ^v u-c r-+». t T. 4 • , : fig S,, < S ",y `� v = > E E n l' • , XcB, ' It T - k"a h A a x - ,••- Date: 2/10/04 s s s y ' ;1,. 2, "3°:6 f` . 1 ' ` Scale: NOTED 0 • "v �a i - �`� f` • � " .:_ �� �`. ">rt l ��f a":' x i' �" Designer: AMG — „ I ,, .. t` i o „ Soles Rep: D. Terrack ((( i7 c,,,,�. J "m - REVISIONS $' fs 3 -`. >” Y ,r.�.. . p c^ "'"rv1 - 4 - East Elevation (Existing) North Elevation (Existing) 45' -0" frontage 50' -0" frontage 14' -3" SlfanS G. services 14'_'3" C O M P A N Y 10980 BOATMAN AVENUE STANTON, 90680 \ � � / PHONE 7141761 8200 $- T�'�y °p` y _ pm _ { q (�' N 1 _ W WwsIGN5ANosERVICESCO COM N S 1no o:uI d � ab r3 ' '.J N / � I f L Vun' i Sk m �, .l A t l i � v_ / l I' p RI- �� 4 It . � r— _ ss r .{ Y 1 - . - } ,.. �x ,,"m, if o CONTRACTORS LICENSE # 624675 • 4-4!•: y , ''. � -f.. ..� --4:‘,.--.4_-.::',.::::,..--'::-.i.: . -�' THIS IS AN UNPUBUSHO SHDWNOR DESIGN S9ATIOB1SIGNS x - > -+•- '-" . ,•.,",,;,. AN (E IBITED IO S(OMNEO ISIOI ISIS NOT TO N ' ****''��.. 'A& d. ''�:y ° ' �sa^ t ' 1. 1...••• . .e... -"'.-- }" "-"" ^^• " "�` ISS IBITSOB9001WYOUR 0BGMNIIANON �3�. � -' II � A T��' r ie°j CF "A ",. , i 'l '(+ 's� . 1 °t REPRODUCTION OR (ONSIRU(IION Of DISPLAYS BASSOON ¢L,. • tye- a:66.44.1,...X .5.. _'' 4.... - c 9.9. 1p55JTVGiti ZEA7 TTA W X -•. , o eLL '• a : " y , �.,� ,^, ., �,- . - - .. C � . 0.4 . . • ;, 1X15015100 IS SUBJECT TO (090050 TANS AND SUBJECT 10116A1 ACTIONS. East Elevation (New) North Elevation (New) '(/ Elevations ti 0 .. • Sign Specifications CLIENT ROUND TABLE PIZZA #345 14'-4" I] New set of fabricated aluminum internally 12085 HALL BLVD. illuminated channel letters (5' deep) with white TIGARD, OR 0 P-1 acrylic faces and translucent film overlay WED Q2 'SHIELD' fabricated aluminum internally illuminated channel logo (5" deep) with white acrylic face E:t I (Film colors as per RTP standards) Design No. 04 -155 , �� 0 L_ D >.� / ' ,' thick Gatorboard painted white with �0 0 N \D <� f <`. Q ;;;;:;a:: graphics Date: 2/1 0/04 raceway Scale Designer: AMG Sales Rep: D. Terrock Signtype CO 28.6 Sq.Ft. Scale: 1/2 " =1' -0" Trim cap © P3 3/4' Green (lett REVISIONS Illumination - Letters illuminated with 6500 White neon (15MM glass) ® op, 'Shield illuminated with 6500 White neon - ® 0 (t5MM glass) A CD • D i/ I I 4 Electrical Requirements S IV "� ;P:: - e 1 �` 30MA transformers 1 ® METAL /ALUM. I P � .'� A' Key Notes LETTER. s PLEX FACE WITH TRIM Remove and discard existing RTP channel letters SIGf10 G services V ® and logo prior to install of new channel letters BUILDING CAP RETAINER. and raceway FACIA 10980 BOATMAN AVENUE INTERNAL NEON Letter/Logo Color Details STANTON, CA. 90680 U/L p2161 LLUMINATION. g PHONE 714/761 -8200 REMOTE FAX 714/761 -2451 TRANSFORMER. pp U /LAPPROVED I ! $_ INSULATORS w/ 'ELECTRO BITS" Color Schedule WWW.SIGNSANDSERVICFSCO.COM PRIMARY ' ■ GTO SLEEVE. COLOR # COLOR WIRING.' i � i I V -t Black vinyl V -2 Process ess Blue vinyl 230-337 11111 114' THRU BOLTS. V-3 Poppy Red vinyl 230.143 ==IA uL pp V4 Brilliant Green vinyl 230 -106 a.. ...o w ".. ... ..« S OFF /ON A NEON TUBE SUPPORTS. Vs Tangerine vinyl 3630 -84 SWITCH. V6 Emerald Green vinyl 230 -126 ,.r �� • \ WEEP HOLES V-7 Co reversed out White from `4✓' Si rid 7 , (2) PER LETTER. bkgd. /' ,441ales ®to be reversed out white CONTRACTORS LICENSE # 624675 Paint Colors Installation Requirements iris IS AN OPJGINc UNPUBOSH10 249611181815 81 SUS TYPICAL CHANNEL LETTER w/ RACEWAY INSTALLATION COLOR # COLOR ANO 511M(ES(OMPANY. If ISN0T TO BE SHOWN OR This sign is Intended to be installed in accordance P -1 Emerald Green (PMS 3435) with the requirements of Article 600 D DHIBII 1 IO 101101 CO I WI51O1 OR atatt 0 1151 0 P3 I815IS Black gloss finish of the National Electrical Code and /or other applicable 1 / 01 8 DESI6 IS S 0 SU811(1 IHI 10 010PIeOf COPYRI6NI L O16 AWS AND 5181(UB1E0 local codes. This includes proper grounding and fO 06Al A(t10N5. I I bonding of the sign. At I White acrylic Channel Letters w/ Raceway CITY OF TIGARD 3/ l izuin 13125 SW Hall Blvd. 11:44:11AM Tigard, Oregon 97223 Aj► 61 (503) 639 -4171 Receipt #: 27200500000000001130 Date: 03/15/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00060 [SIGN] Sign Permit 100- 0000 - 437000 32.00 SGN2005 -00060 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2005 -00061 [SIGN] Sign Permit 100 - 0000 - 437000 32.00 SGN2005 -00061 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 Line Item Total: $74.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check SECURITY SIGNS KJP 013117 In Person 74.00 Payment Total: $74.00 cReceipt.rpt Page 1 of 1